Organization
CRYSTAL HOME MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA MARVEEN PALMER (PRESIDENT)
(352) 564-8700
Entity
Organization
Contact information
Practice address
2041 N DONOVAN AVE, CRYSTAL RIVER, FL 34428-7887
(352) 564-8700
Mailing address
PO BOX 1016, CRYSTAL RIVER, FL 34423-1016
(352) 564-8700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1505
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1505
FL
Other
Enumeration date
12/01/2005
Last updated
03/06/2008
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